Two leading organizations representing Medicaid managed care plans are offering several key suggestions to the Trump ...

Panelists discuss how managed care organizations can leverage prescription digital therapeutics as cost-reduction tools to ...

The AMCP Nexus meeting addressed healthcare policy issues, including PBM reform, Medicaid reform, and the Inflation Reduction ...

The state could pay Medicaid managed care plans $143 billion during the next six years to provide care to the state’s poor, elderly, and disabled, a leading House Republican said Tuesday. Rep. Josie ...

State Directed Payments (SDPs) are an emerging tool that give states the authority to direct how managed care plans pay providers (such as by mandating managed care plans pay Medicaid providers a ...

A new analysis of more than 3 million claims for Medicare patients found that patients enrolled in a managed Medicare Advantage plan had better health outcomes than those senior enrolled in the ...

Plans that invest in real-time visibility, clinical data exchange, and workflows built around proactive action will protect ...

Healthview Home Health Services has grown dramatically in recent years, earning a spot on the Inc. 5000 list this year and ...

OIG issued a new report finding that in 2022 some Medicaid managed care plans self-reported making no or very few potential provider fraud, waste, and abuse referrals. OIG reported that 33 plans, ten ...

A federal probe of Medicare and Medicaid plans run by private insurance companies found that the plan operators often ...

A report by the Department of Health and Human Services Office of the Inspector General found that many Medicare Advantage and Medicaid managed care plans offer access to a limited proportion of ...

The New Hampshire Department of Health and Human Services has announced the state’s Medicaid Care Management program is open for enrollment, a step forward in the state’s plans to transition Medicaid ...